VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 11/12/2021
** VAERS DATABASE Last updated: November 12, 2021**
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Manufacturers

Total Manufacturer
46,870MODERNA
532GLAXOSMITHKLINE BIOLOGICALS
353PFIZER\BIONTECH
231MERCK & CO. INC.
221UNKNOWN MANUFACTURER
62SEQIRUS, INC.
25DYNAVAX TECHNOLOGIES CORPORATION
13EMERGENT BIOSOLUTIONS
12SANOFI PASTEUR
9NOVARTIS VACCINES AND DIAGNOSTICS
5PFIZER\WYETH
5PAXVAX
2TEVA PHARMACEUTICALS
2PROTEIN SCIENCES CORPORATION
1BERNA BIOTECH, LTD.
1INTERCELL AG
1CSL LIMITED

COVID19 Lot Number

VAX LOT Total
2S9CL1,906
1,575
289
IMM209286
252
236
229
s029456178
171
UT7065MA166
155
149
145
S034636133
107
U62828AA103
100
98
P10025327596
U6737AA85
UJ446AA79
78
78
59
57
4BH3254
4F47253
52
27656352
50
PP9L548
49TM346
42
40
38
MENVEO38
4F47237
R1B252M36
34
C5763AA30
93362229
25
300057A24
UNK24
22
CW311621
18
17
15
UH894AB15
3Y7NL12
R1B743M12
EJ168611
el128410
10
10
10
9
ARBA141A9
UNK9
8
UNK8
8
1F4EB8
Unknown7
7
No batch number6
5
5
UJ090AA5
5
5
4
4
4
UNK4
JEV18K95E4
UNK3
A115A3
Z127A3
3
3333324181073
2
2
2
TAR352
1
1
1
1
1
A739081
1
1
1
1
1
037K20A68,542
EL128447,700
133

Incidents per State

State Total
15,185
CA14,096
NY7,507
TX7,196
FL6,939
IN5,527
PA4,560
IL4,179
OH4,054
AZ3,856
MI3,771
NJ3,411
MA3,278
VA3,208
NC3,114
WA3,034
GA2,864
MD2,652
MN2,534
CO2,532
WI2,457
MO2,029
OR1,943
TN1,715
CT1,693
KY1,603
OK1,226
AL1,201
KS1,162
IA1,157
SC1,106
NM1,065
UT973
AR951
LA945
NE829
NV797
ME795
MT789
NH756
ID674
AK661
WV661
PR650
MS585
HI536
RI510
VT441
SD361
ND356
DE350
DC239
WY209
GU32
AS16
VI13
MP9
MH3
FM2
QM1
XB1

ID: 1029209
Sex: M
Age: 33
State: FL

Vax Date: 12/21/2020
Onset Date: 12/26/2020
Rec V Date: 02/14/2021
Hospital:

Lab Data: ESR- 19 wbc- 13, h/h- 13/43, mcv 77, CMP- normal

Allergies: NKA

Symptoms: On 26DEC ( 5 days after first injection), he started experiencing pain and weakness in the Right deltoid radiating down to the fingertips . Within a week, started feeling similar symptoms in Left extremity. No shoulder/neck pain. Pain starts at the deltoid at the injection site and has caused stiffness, pain, and tightness of the upper extremities alone. Decreased grip b/l. Symptoms have persisted since ( almost a month now) but did seem to resolve while on prednisone, but returned after cessation. No respiratory issues, chest pain, paresthesias, or lower extremity symptoms.

Other Meds: None

Current Illness: None

ID: 1029210
Sex: F
Age: 50
State: NY

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: None However, I continued to have a mild sore throat and aches and on a whim scheduled a COVID test on 2/11/2021. This test came back positive on 2/12/2021.

Allergies: Sulfa

Symptoms: Approximately 12 hrs after my 2nd dose, I started to experience chills, fatigue, aches and pains. I was sweaty and uncomfortable. I am not supposed to take Tylenol or ibuprofen due to gastric sleeve surgery and took 1-500 mg Tylenol to ease the discomfort around 9 pm however this did not relieve the aches, pain or chills. I did not take my temperature at this time. I took another Tylenol around 12 am and attempted to sleep however around 4 am I woke up sweaty and chilled and took my temperature with an infrared thermometer and it was 102.5. I took 2 Tylenol and 1 ibuprofen at this time. My temperature decreased to 99 by 7 am and was down to normal by 9 am.

Other Meds: Pantoprazole Sod Dr 40 MG Vyvanase 50 MG Toprimate 100 MG Losarton Potassium 50 MG Multivitamin; Vitamin D

Current Illness: Chronic seasonal allergies which I take OTC Claritin (none at that time); completed 7 days of antibiotics (began 1/12/2021) for an infected blister and subsequent yeast infection (fluconazole 150 mg 1x 1/22/2021). No other.

ID: 1029211
Sex: F
Age: 61
State: OH

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Twitching in left arm of shot in the lower part of arm by elbow crease. Almost constant when resting. Not when moving. Thought it had stopped yesterday afternoon but then woke up this morning with the twitching. Very localized.

Other Meds: Magnesium, C, D

Current Illness: None

ID: 1029212
Sex: F
Age: 48
State: MN

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pain at injection site

Other Meds:

Current Illness:

ID: 1029213
Sex: F
Age: 77
State: AZ

Vax Date: 01/26/2021
Onset Date: 02/03/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: none

Allergies: only some antibiotics

Symptoms: Feb 3, 2021 (day 8) delayed reaction -large over bright red, hard, hot to touch; took tylenol and Benadryl and iced arm; on Feb. 4, the oval was slightly better; on Feb 6 oval was almost faded but still red; Feb 8 slight ring around ova reaction Also, I felt very tired and tended to sleep during the day

Other Meds: none

Current Illness: none

ID: 1029214
Sex: M
Age: 90
State: OH

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/14/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: Uncle received vaccine on 2/9/21 at 11:30am. Had acute myocardial infarction on 2/10/21 at 08:30am where he proceeded to fall and fracture hip. Transported to emergency department and treated for AMI. Stabilized and taken for surgery to repair hip fracture. To be discharged on 2/15/21 to rehabilitation facility. Up until this point he was very healthy and active, despite his age, living unassisted at home.

Other Meds:

Current Illness: none

ID: 1029215
Sex: M
Age: 73
State:

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
Hospital: Y

Lab Data:

Allergies:

Symptoms: New onset aflutter RVR with hypotension

Other Meds:

Current Illness:

ID: 1029216
Sex: M
Age: 70
State: IN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: My arm hurts. My arm is hot. My arm is not red so I do not suspect infection. No fever. My arm is hard and swollen.

Other Meds:

Current Illness:

ID: 1029217
Sex: F
Age: 46
State: PA

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: No, but seasonal allergies and did have reaction to allergy shots when they tried to increase the dosages

Symptoms: So this is the 2nd round of reaction 24 hours later I started to feel really flushed elevated Hr, shaking feelings weak again and I wasn't able to take a deep breath and fill my lungs. I took 10 chewable benadryl

Other Meds: My first reaction was right after the injection and that was reported yesterday. Received Epi, and was prescribed prednisone 2 20ml tablet, prn benadryl. This morning the reaction came back quickly and I took 125 ml benadryl went to ER.

Current Illness: None

ID: 1029218
Sex: F
Age: 40
State: IL

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Raised red bump at injection site on 1/24. Went away after 2-3 days then came back on 1/31.

Other Meds: Lexapro

Current Illness:

ID: 1029219
Sex: M
Age: 29
State: IN

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: N/A

Allergies: N/A

Symptoms: Approx. 8 hours following injection, on Friday, 2/5 at 3:45 p.m., began experiencing the following symptoms: low grade fever (99.1 F); Left arm numbness and pain from deltoid to fingers; severe joint pain in L thumb, Index, and middle fingers; headache; chills; systemic muscular weakness; dizziness/nausea; extreme fatigue. Symptoms began to abate on Sunday 2/7 at approx. 8 p.m., and had completely abated by Monday 2/8 at 6 a.m.

Other Meds: Cetirizine Hydrochloride Tablets, 10 mg/day

Current Illness: N/A

ID: 1029220
Sex: F
Age: 54
State: IN

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Low grade fever, headache, body aches, fatigue

Other Meds: Tizanidine, hydrocodone

Current Illness:

ID: 1029221
Sex: M
Age: 73
State: NV

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Covid Arm Large red spot near injection site. Sore arm. Warm to touch. Body aches, head ache, and fatigue.

Other Meds: Tamsulosin Allopurinol Pravastatin

Current Illness: None

ID: 1029222
Sex: M
Age: 33
State: NY

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: NKDA

Symptoms: woke at 3:30 am on Feb 12, 2021 with severe vertigo that caused him to fall with no injury, he could not get up crawled back to bed. Awoke again at approximately 7:00am with feeling feverish, shills fatigue with no vertigo. At 5:00pm patient stood to walk to bathroom, felt chills and flushed and "passed out" and fell hitting his chin on the kitchen table awoke on the floor did not remember passing out or hitting his chin. He stood up did not feel dizzy, just tired continued to the bathroom. No episodes after that just tired. Patient had been taking fluids throughout the day and eating.

Other Meds: none known

Current Illness: None

ID: 1029223
Sex: F
Age: 42
State: MN

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, chills

Other Meds:

Current Illness:

ID: 1029224
Sex: F
Age: 52
State: AK

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: Hypomagnesmia and Hypocalcemia. Quarantined

Allergies: Cephradine, Latex, Ciprofloxin, Levofloxin, Toridol, Cephalasporins (more on record)

Symptoms: Ended up with full symptoms, nausea, vomiting, lightheaded, fatigue, loss of appetite, sore at injrctionsight, ended up at ER with hypomagnesmia, hot/cold flashes. Body aches and cough with sore throat.

Other Meds: Vivatrol injection, same day Diltiazem

Current Illness: None,

ID: 1029225
Sex: F
Age: 77
State: CO

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: Penicillin and Bisphosphates

Symptoms: Chills, headache for one day, achy feeling, blood pressure below 120 for 2 days, SpO2 between 92-94 for 2 days. Acetaminophen for 1 day at maximum dose for headache, reduced appetite for 2 days.

Other Meds: Amlodipine 2.5 mg and low dose aspirin, vitamin D 3000 mg for osteoporosis, Metamucil, multi-vitamin, fish oil

Current Illness: None

ID: 1029226
Sex: F
Age: 69
State: PA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: unknown

Allergies: unknown

Symptoms: Pt reported shortness of breath and wheezing after returning home. Pt sought medical attention from an ER.

Other Meds: unkown

Current Illness: unknown

ID: 1029227
Sex: F
Age: 61
State: LA

Vax Date: 02/03/2021
Onset Date: 02/07/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Wokke up around 3:00 a.m. 3 nights after vaccine. Violent vomiting 3-4 times, then diahhrea for about half hour. Thought I had food poisoning. Sever headache shortly after. Sunday, slight fever, listless, some muscle aches, joint pain. Sunday night, headaches returned. Monday, slight fever, muscle aches, swollen lymph nodes under right armpit. Some mild muscle aches and joint pain. Monday night, headache again. Tuesday, same symptoms. Wednesday, some joint pain, swollen lymph node, otherwise fine.

Other Meds:

Current Illness:

ID: 1029228
Sex: F
Age: 65
State: CO

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: penicillin

Symptoms: Spontaneous rapid heart rate for 15 minutes. Rested. Heart rate returned to normal.

Other Meds: none

Current Illness: none

ID: 1029229
Sex: F
Age: 68
State: MI

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: No

Allergies: None reported

Symptoms: At 11:55 AM, the patient received the 2nd vaccine. At 12:28 PM, the patient pruritius to the face bilateral otipictal region of the head. At 12:34 PM, blood was 112/78. O2 was 93 % which is her home oxgyen, temp 97.6, lung sounds clear throughout. At 12:42 PM, complaint resolved. 12:44 banophen 25mg/ cap, po admistrated once. At 12:58 PM, blood pressure was 125/73, heart rate 70, O2 95%, temp 97.4 degrees.

Other Meds: None reported

Current Illness: Allergist but never diagnosis

ID: 1029230
Sex: F
Age: 65
State: SC

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: n/z

Allergies: n/a patient did state that years ago she had taken allergy shots but no specific info given

Symptoms: Upon receiving vaccine patient stated that her arm felt immediately warm and itchy. I examined the area and it was botchy and some what red. She then said that in the past she had a similar reaction when receiving allergy shots many years ago and would take oral Benadryl. She was not having any breathing issues and declined epipen. I offered and she agreed that oral Benadryl would be ok. I gave her 5ml of generic Benadryl 12/5mg/5ml which is what she stated she usually takes. After sitting for 10 minutes she stated that her neck was itchy so we repeat the Bendryl dose. She did state that she was wearing a cloth mask which was new for her. She thought removing the mask would help which I agreed. I observed her for an additional 20 minutes. She stated she was feeling fine, I again checked injection site and redness was gone

Other Meds: n/a

Current Illness: n/a

ID: 1029231
Sex: M
Age: 76
State: MA

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: None of the above

Allergies: none

Symptoms: Loss of taste and smell . Shortness of breath, fatigue, brain fog.

Other Meds: Prednisone, Hydrochlorothiazide ,Lisinopril

Current Illness: PMR

ID: 1029232
Sex: F
Age: 37
State: NY

Vax Date: 02/06/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: Penicillin

Symptoms: Redness, itching, and pain - big patch of red appearing surrounding injection site 1 week later

Other Meds:

Current Illness:

ID: 1029233
Sex: F
Age: 35
State: MN

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Headache, pain at injection site

Other Meds:

Current Illness:

ID: 1029234
Sex: F
Age: 53
State:

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Pt developed itching to ears, face and throat a few minutes after injection. 50mg of benedryl injection given immediately at 1248. Reports no difficulty breathing. Improvement noted after benedryl given.

Other Meds:

Current Illness:

ID: 1029235
Sex: M
Age: 70
State: AZ

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: NA

Allergies: Sulfa

Symptoms: The day after my 2nd vaccine, I experienced a headache and mild cough. I took two extra-strength Tylenol and it helped. I took two more Tylenol before bed, and by Sunday morning felt fine.

Other Meds: Oracea, Prilosec, Authrostatin

Current Illness: None

ID: 1029236
Sex: M
Age: 36
State: IA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: None

Allergies: Carbamezapine - severe skin reaction

Symptoms: Night terrors; every night for a period of five (5) nights

Other Meds: Lamotrigine - 150mg every 12 hours

Current Illness: None

ID: 1029237
Sex: F
Age: 47
State: CA

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: None

Allergies: Penicillin

Symptoms: Fever, Nausea, headache, body aches, facial and lymphatic swelling, swelling heat and rash at injection site, blurred vision, and fatigue. Seems like every time I woke up from a nap, I would feel a little better. Kept Tylenol on board and that helped with fever. This morning, 2/14, I am feeling much better, just have the rash and light headache.

Other Meds: Labetalol 200mg 3x daily Joint Free D3 Bayer 81mg Tylenol 500mg x2 PreNatal multis

Current Illness: None

ID: 1029238
Sex: F
Age: 50
State: OR

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: not yet, if it lasts over 12 hours or gets worth or any other signs of worsening health I will see my MD or go to a urgent care clinic.

Allergies: Penicillins

Symptoms: At 40 hrs post vaccine I broke out in a red, painful rash located on my trunk from the neck down and the hips up. The rash is prickly, red, somewhat raised and tender to the touch. It came on suddenly at around 8am on 2/14/21.

Other Meds: 1000 IU Vit. D 2-3xweek, 150mg Welbutrin

Current Illness: None

ID: 1029239
Sex: M
Age: 69
State: NJ

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
Hospital: Y

Lab Data: the following tests were done while I was still in the ED on 2/13/21, betw the hrs of 9am - 2pm (approx).Echocardiogram, xray of shoulder & chest, CT scan of head, ultrasound of neck. All tests were negative for serious injury. I was discharged to home on 2/14/21. Item #21 - I am alive and well, I am NOT deceased. Couldn't remove the checkmark/.

Allergies: Codeine (and any derivative or "cousin" to codeine), penicillan, darvon, demerol

Symptoms: achy upon waking up on 2/13 (approx 7a). At laundromat, started to get clammy, and sweaty. Sat down, and next thing I knew I has fainted (approx 7:45-8a). Police were called, then First Aid Squad. Very pale, sweaty and nauseous (threw up 2x). Went to Hospital. Was evaluated in the ED for approx 6 hrs, then transferred to a room for overnight observation.

Other Meds: Simvastatin: 20mg once a day; Hydrochlorothiazide: 12.5mg once a day; Losartan: 100mg once a day; Pentoxifylline: 400mg twice a day

Current Illness: none

ID: 1029240
Sex: F
Age: 54
State: CA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: Ciprofloxacin, hydrocon, tiotropium, adhesives

Symptoms: Headache, stomach ache, shivering

Other Meds: Singular 10 mg, aller-tec, multivitamins

Current Illness: None

ID: 1029241
Sex: F
Age: 73
State: MO

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: Patient did have an anaphylactic reaction to having an allergy shot years ago

Symptoms: At 10:50am, the patient stated that she was started to have a weird taste in her mouth and then she stated she started to feel light headed. By 10:55am she was given 25mg of liquid Benadryl and we had placed a cold cloth on the back of her neck. We had the patient stay a little longer to ensure it started to kick in and she asked us for a lemon drop. We don't have those in the store, so I grabbed her peppermint. When I got back from getting that, the light headedness went away and was starting to feel better and normal taste was returning. We also grabbed the patient a water. By 11:05am she was feeling much better and she went home. She was going to call me if anything else came up after she left. I will follow up with her tomorrow.

Other Meds:

Current Illness:

ID: 1029242
Sex: F
Age: 30
State: IN

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: Latex and morphine

Symptoms: Around 12 hours after vaccination, I spiked a temp of 103.5. I had chills, nausea, and body aches. My heart rate also stayed in the 140s. I also have a large grapefruit sized red welp on my arm at the site of injection. I am currently having palpitations frequently and more than 36 hours after vaccines continue to spike a low grade temp.

Other Meds:

Current Illness: None

ID: 1029243
Sex: F
Age: 42
State:

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Lightheadedness dizziness hypotension with BP 80/40 thought to be vagal but persistent given Epi.

Other Meds:

Current Illness:

ID: 1029244
Sex: F
Age: 61
State: MN

Vax Date: 02/06/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: None

Allergies: Kiwi fruit (20 years ago, not eaten since) - nausea, itchy hives

Symptoms: "Covid arm" - itchiness/redness around injection site. No other adverse reactions prior to this.

Other Meds: Fluticasone, magnesium supplement, COQ10 supplement, women 50+ multivitamin Started pravastatin 2/8/21

Current Illness: None

ID: 1029245
Sex: F
Age: 73
State: CA

Vax Date: 01/31/2021
Onset Date: 02/07/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: Have history of allergic reaction to MRI contrast dye with Gadolinium which doctor prevents with antihistamine pill and 1 prednisone pill prior to procedure and has worked with last two MRIs.

Symptoms: None stated.

Other Meds: First Absorbine, Jr Plus (what I use for mosquito bite itching), then 0.1% Triamcinolone Acetonide Cream, USP (used occasionally for other itching). Today I am trying 25 mg of diphenhydramine HCL (Pharmacy comparable to Benadryl).

Current Illness: None. Generally very good health.

ID: 1029246
Sex: F
Age: 70
State: KY

Vax Date: 02/06/2021
Onset Date: 02/11/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: no

Symptoms: Arm was sore first two days, then about six days later was red, hot, itchy like poison ivy and has got worse since - larger, itcher, redder, hotter - this is 8th day since vaccine.

Other Meds: Amlodipine Besylate - 5 mg, Hydrochlorothiazide 1/2 of 25 mg, Pravastatin siden 40mg, Omeprazole D4-40 mg, fish oil 1400 mg, Women's Multivitamin, CoQ10-400mg, aspirin 81mg, B complex.

Current Illness: no

ID: 1029247
Sex: M
Age: 68
State: PA

Vax Date: 02/04/2021
Onset Date: 02/10/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: None

Allergies: None

Symptoms: Left side of scalp sensitive to touch, a day later, left cheek and edge of left lip sensitive to touch. Three red blotches appeared on outside of left cheek the size of a dime.

Other Meds: None

Current Illness: None

ID: 1029248
Sex: F
Age: 34
State: VA

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Overall body weakness lasting 36 hours, chills lasting 4 hours, tremors lasting 2 hours, vomiting lasting 2 hours, brain fog lasting 36 hours, night sweats lasting 2 days, low grade fever

Other Meds: Levothyroxine, 100mcg Tylenol 1000mg

Current Illness:

ID: 1029249
Sex: M
Age: 75
State: TN

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: none

Symptoms: Moderna COVID-19 Vaccine EUA Fever, joint pain, fatigue, headache, chills

Other Meds: Lisinopril 10 mg once daily, Pravastatin 20 mg once daily

Current Illness: none

ID: 1029250
Sex: M
Age: 23
State:

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: COVID19 PCR test 2/4/2021

Allergies:

Symptoms: received dose 1 on 1/28. Tested for asymptomatic surveillance screening with his unit, found to be positive on 2/4/2021

Other Meds:

Current Illness:

ID: 1029251
Sex: F
Age: 83
State: FL

Vax Date: 02/02/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: none

Allergies: None

Symptoms: Itching started on 2/11/21, rash and swelling started 2/12, swelling has started to subside

Other Meds: Lisinopril

Current Illness: None

ID: 1029252
Sex: M
Age: 46
State: PA

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies:

Symptoms: Fever, aches, terrible chills, nausea

Other Meds:

Current Illness:

ID: 1029253
Sex: F
Age: 43
State: IL

Vax Date: 02/08/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: Amoxicillin Penicillin

Symptoms: Developed hives on right forearm and left form arm. Right arm covers the most.

Other Meds: Flonase Zurtek

Current Illness: None

ID: 1029254
Sex: F
Age: 81
State: IN

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: None

Allergies: Trimox Amoxicillin

Symptoms: Chills

Other Meds: Fosamax Calcium Vitamin D 3 Folic Acid 2 Tylenol daily Ginkgo Biloda Fish oil Garlic Infusion Remicade

Current Illness: None

ID: 1029255
Sex: F
Age: 66
State: CA

Vax Date: 02/10/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: none. I am using a steroid ointment my dermatogist prescribed for my last systemic rash and it seems to be helping stem the spread.

Allergies: Allergies to some plants and supplements producing systemic rash.

Symptoms: I developed a significant rash 3 days after my second Moderna vaccine. The rash began on my thighs and groin and have spread to my torso front and back. The rash then spread to my elbows and my calves. I also have a round rash several inches from the injection site. The rash is consistent with previous rashes I have after a systemic reaction to something I've eaten of been exposed to, Typically I can trace a rash to a new supplement or body lotion, This time I have no other suspect beyond the vaccine as I have not taken or applied any new supplement or cream in the last 2 months,

Other Meds: Armour thyroid, Prometrium, Dyazide, estradiol patch

Current Illness: none

ID: 1029256
Sex: F
Age: 72
State: MI

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: Blue dye, latex

Symptoms: Rash on arm where shot was given, swelling, and warm to touch.

Other Meds: Synthroid 1 and 1/2 daily 50 mg allergic to glue dye in 75 mg no pill taken Weds. and Sunday, Metropol succinate ER 25 mg 1 in morning and 1 at night, Simvastatin 20 mg 1 a day, baby aspirin 81 mg daily

Current Illness: None

ID: 1029257
Sex: F
Age: 70
State: OK

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data:

Allergies: Unknow

Symptoms: Pt stated ?feels like my tongue has doubled in size ? difficulty swallowing and chest tightness

Other Meds: Unknown

Current Illness: Unknown

ID: 1029258
Sex: F
Age: 69
State: FL

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/14/2021
Hospital:

Lab Data: none

Allergies: none

Symptoms: Swelling started 2/6/21 and lasted for 5 days, redness and warmth started 2/14/21

Other Meds: unknown

Current Illness: none

Total 2021 VAERS Injuries: 134,999

Page last modified: 14 December 2021 10:42pm